| NPI | 1588272462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013419) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F10181582) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-08-27 |